Previously: Spinocerebellar ataxia 34 (SCA34)
Erythrokeratodermatous plaques on extremities; cerebellar ataxia late in onset.
Fixed or migratory erythrokeratodermatous plaques, especially on extremities; improve in warmer, more humid weather, may clear during adulthood.
Spinocerebellar ataxia begins in adolescence to adulthood and is progressive; nystagmus, dysarthria.
Cadieux-Dion M, Turcotte-Gauthier M, Noreau A et al. Expanding the clinical phenotype associated with ELOVL4 mutation: study of a large French-Canadian family with autosomal dominant spinocerebellar ataxia and erythrokeratodermia. JAMA Neurol 2014; 71:470-5.
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